MARTHA J KOENEGSTEIN (NPI# 1336194539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336194539 |
| Entity Type | Individual |
| Full Name | MARTHA J KOENEGSTEIN |
| Credential | CPNP |
| Practice Address |
12303 Depaul Drive Bridgeton MO 63044 |
| Mailing Address |
1836 Lackland Hill Pkwy Attention: Credentialing Supervisor Saint Louis MO 63146-3572 |
| Practice Telephone | 3143446000 |
| Mailing Telephone | 3149890300 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
134466 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12303 DEPAUL DRIVE |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642320 | Sameer Rana | Internal Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2005-07-13 |
| 1609481241 | Hannah Ross | Social Worker | 12303 Depaul Drive, Bridgeton, MO 63044 | 2020-09-10 |
| 1023661709 | Jessica Wild | Family Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-07-22 |
| 1699330803 | Melinda Sue Nicholes | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-05-02 |
| 1124580410 | Blake Thomas Savage | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-04-04 |
| 1114489986 | Shiv Mehta | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-04-02 |
| 1467918128 | Joy Roberts | Social Worker | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-02-18 |
| 1376074377 | Deborah Lynn Murphy | Registered Nurse | 12303 Depaul Drive, Bridgeton, MO 63044 | 2017-03-22 |
| 1174060719 | Candice Bowman | Social Worker | 12303 Depaul Drive, Bridgeton, MO 63044 | 2017-01-20 |
| 1164878252 | Deanna Krankel | Social Worker | 12303 Depaul Drive, St. Vincent's Behavioral Heatlh Services, Bridgeton, MO 63044 | 2016-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1053822254 | Amy Elizabeth Mcalister | Nurse Practitioner | 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 | 2017-10-16 |
| 1740572072 | Karen F Robinson | Nurse Practitioner | 206 Laurel Heights Dr, Bridgeton, NJ 08302-3634 | 2011-05-04 |
| 1063667665 | Susan H Fliesher | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2008-11-24 |
| 1518912708 | Kathleen M Potts | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-24 |
| 1700831856 | Faith Stroud | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| 1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.